Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brandon James Wilson, PA-C

Individual provider Physician Assistant · NPI 1043775414

Brandon James Wilson, PA-C is a Physician Assistant in Kodiak, Alaska. Works from 2 locations. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Uscg Base Kodiak Rockmore-King Clinic 200 Albatross Ave Bldg N-46
Kodiak, AK 99615-6810
Phone: (907) 487-5757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 — (762) 408-2605

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01268 (RI)

Record details

NPI number1043775414
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 9, 2019
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020

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